| NPI | 1992967384 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PR 18387) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18387) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2016-09-13 |